Individual
DR. LEANNE M MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2002 S 11TH ST, NILES, MI 49120-4074
(269) 684-0200
(269) 684-0199
Mailing address
6416 DEANS HILL RD, BERRIEN CENTER, MI 49102-9750
(269) 471-7741
(269) 471-1581
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301085110
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3501110751
BLUE CROSS PIN
MI
05
—
4751463
—
MI
Enumeration date
06/30/2006
Last updated
03/07/2023
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